Job description
Excellence In Everything We Touch:
Position Summary:
Responsibilities, not limited to the following: day to day interaction with assigned carrier partners, carrier oversight, maintaining carrier summaries, facilitating service center training, monitoring carrier reporting.Responsibilities:
Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
When you accept a job with Crawford, you become a part of the One Crawford family.
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.
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Under the direction of the VP of Carrier Relations and the Carrier Relation Manager the Senior Risk Analyst position provides quality carrier/claims oversight to Broadspire staff, facilitate carrier audits, collects carrier data for trending analysis, and will act as a liaison between Broadspire carrier partners and Broadspire Claim Operations.
Responsibilities, not limited to the following: day to day interaction with assigned carrier partners, carrier oversight, maintaining carrier summaries, facilitating service center training, monitoring carrier reporting.
- Review reportable claim files to ensure proper investigation.
- Review non-reportable file statistics via claim status sheets or other audit methods for proper data entry and collection.
- Evaluate claims from a legal, medical, and financial standpoint.
- Management of litigation by direction and supervision of work on claim files by defense counsel.
- Provide first-line supervision in support of same at branch level.
- Enforce reporting by field offices on claims reserved above authority levels in compliance with service standards and client requirements.
- Evaluate and authorize claims payments on reportable files.
- Troubleshoot coding errors.
- Review reporting level assignments within a reasonable time period.
- Review own diary in accordance with RTC service standards.
- Outline needed investigation on assignments; coordinate with client and RTC Manager/ Team Manager investigation procedures to be used by branches.
- Interpret and evaluate investigative material provided by branch, defense counsel, medical and technical services.
- Monitor and validate client data, selected claim listings, reserve exception reports, and client loss runs.
- Approve outgoing mail.
- Construct and maintain reference material.
- Assist in field branch office inspections.
- Assist Regional Directors and National Account Executives in transmitting and implementing client changes to programs.
- Retrieve files for audit purposes.
- Resolve coverage questions with clients.
- Carry out plans, programs and overall controls within the contract to client satisfaction.
- Coordinate and consult with client on claim activity; review with client reserves on reportable cases.
- Handle client complaints quickly and efficiently.
- Present adverse circumstances on a claim to client in an acceptable manner.
- Attend industry functions and uphold and project the professional image of the company to the industry.
- Comply with regulatory and licensing laws.
- Attend conferences and seminars and continue educational pursuits as part of self development.
- Uphold the “Statement of Principles” as adopted by the National Conference of Lawyers, Insurance companies and Adjusters, the Unfair Claim Practices Act of the NAIC and additional ethical standards of Crawford and Company.
- Be available upon request of Manager, Team Manager, Regionals, or clients to accept additional responsibilities when necessary
- Education equivalent to a college degree or the equivalent in related work experience.
- Five years previous experience as an adjuster or claim supervisor in various coverage
- Minimum of four years vocational preparation
- Demonstrated ability to supervise the work of others.
- Demonstrates effective and diplomatic oral and written communication skills, and promotes a favorable company image to the public.
Why Crawford?
Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community – one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
When you accept a job with Crawford, you become a part of the One Crawford family.
Our total compensation plans provide each of our employees with far more than just a great salary- Pay and incentive plans that recognize performance excellence
- Benefit programs that empower financial, physical, and mental wellness
- Training programs that promote continuous learning and career progression while enhancing job performance
- Sustainability programs that give back to the communities in which we live and work
- A culture of respect, collaboration, entrepreneurial spirit and inclusion
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.
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